Surgery for primary trigeminal maxillary neuralgia under transnasal endoscope / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 535-538, 2009.
Article
in Zh
| WPRIM
| ID: wpr-245884
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the feasibility of endoscopic surgery for primary trigeminal neuralgia, and to evaluate its advantages and disadvantages.</p><p><b>METHODS</b>Fifteen patients diagnosed as primary trigeminal neuralgia were included in this study. All of them had maxillary neuralgia, concurrently with 8 ophthalmic neuralgia and 2 mandibular neuralgia. The median course of disease was 4 years. The surgeries were performed by transnasal endoscope, through sphenopalatine foramen, into the pterygopalatine fossa, to find rotundum foramen, and then coagulated and cut the maxillary nerve. Post-operative evaluation was done based on Brisman R' s way. The post-operative improvement of symptom was compared with preoperative symptom, and the complications of this operation were observed.</p><p><b>RESULTS</b>The follow-up time was 6 months to 16 months, with the median time of 13 months. Thirteen patients were cured, 2 patients had effective outcome. Seven months after operation, 1 patient appeared supraorbital neuralgia. After the radiofrequency operation, the pain was improved. All of the patients had no serious complications and no subjective discomfort of nose and eyes.</p><p><b>CONCLUSIONS</b>The surgery for primary maxillary neuralgia under transnasal endoscope had a direct way to rotundum foramen, with clear operative vision. It is a minimally invasive surgery, it can minimize the serious complications. The primary curative effect is confirmed.</p>
Full text:
1
Database:
WPRIM
Main subject:
General Surgery
/
Trigeminal Neuralgia
/
Nose
/
Endoscopy
/
Maxilla
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Zh
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2009
Document type:
Article
Country of publication:
CHINA
/
CN
/
REPUBLIC OF CHINA